Hybrid Risk Adjustment Strategist & Provider Partner

Intermountain Healthcare Inc.; Juneau (AK); Hybrid; USD 62,000 - 96,000; Full time

Job summary

Intermountain Health seeks a Risk Adjustment Strategic Partner to lead risk adjustment initiatives, HEDIS/STAR gap closures, and data-driven population health strategies. You will coordinate workstreams with provider organizations, analyze trends, and craft implementation plans for value-based care.

The role requires strong collaboration with leadership, excellent communication, and the ability to travel quarterly for in-person meetings with clinics, while operating in a hybrid setup with mostly

Qualifications

• Proficient at risk adjustment strategy for Medicare and ACA lines, including RAF score calculations.
• Understanding of HEDIS and STAR measures.
• Knowledge of healthcare regulations and compliance requirements.
• Familiarity with value-based care, provider incentive programs, P4P and quality programs.
• Demonstrated ability to manage projects and teams to achieve goals and objectives.
• Excellent communication and interpersonal skills for stakeholder engagement.
• Intermediate Excel skills, PowerPoint (MS Suite).
• Strong presentation skills to large groups and leadership.
• Data analysis and reporting expertise.

Responsibilities

• Collaborate with provider groups to achieve annual goals and engage for performance improvement.
• Develop strategies to address gaps in care and assess program effectiveness.
• Design and implement risk adjustment reporting with internal and external partners.
• Support strategic engagements and advise executives on segment-specific strategies.
• Foster relationships with providers and clinical leadership across the organization.
• Lead high-priority initiatives with proactive, self-guided leadership.
• Coach provider partners on value-based contracts and data-driven decision making.
• Coordinate implementation of services with internal teams and partnerships.
• Ensure clinic interoperability with data transfer and EMR access.

Skills

Risk Adjustment

Relationship Building

Performance Improvements

Management Reporting

Quality Measurements

Data Interpretations

Analytical Thinking

Written Communication

HEDIS

Accountability

Data Reporting

Presentations

Education

Bachelor’s degree in healthcare administration

Five years of health plan/provider admin experience

Job description

Intermountain Health seeks a Risk Adjustment Strategic Partner to lead risk adjustment initiatives, HEDIS/STAR gap closures, and data-driven population health strategies. You will coordinate workstreams with provider organizations, analyze trends, and craft implementation plans for value-based care.

The role requires strong collaboration with leadership, excellent communication, and the ability to travel quarterly for in-person meetings with clinics, while operating in a hybrid setup with mostly